| Vibrant Dental Llc | |
|
150 Professional Ct Ste B Lafayette IN 47905-5153 | |
| (765) 448-4242 | |
| Not Available |
| Full Name | Vibrant Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Professional Ct Ste B, Lafayette, Indiana |
| Authorized Official Name and Position | Valeri Guido-walker (OWNER) |
| Authorized Official Contact | 7654275562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Dental Llc 150 Professional Ct Ste B Lafayette IN 47905-5153 Ph: (765) 448-4242 | Vibrant Dental Llc 150 Professional Ct Ste B Lafayette IN 47905-5153 Ph: (765) 448-4242 |
| NPI Number | 1114686318 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114686318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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